Dister, Nicole

Dister, Nicole is an individual health care provider with primary practice located at 20800 Center Ridge Rd Ste 410 , Rocky River OH 44116-4306. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Dister, Nicole can be contacted via phone (440) 356-7620.

Contact Information

Primary practice address
20800 Center Ridge Rd Ste 410 Rocky River OH 44116-4306
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X S.2005080 Ohio

Profile Details

NPI number 1376135368
LBN Legal business name Dister, Nicole
Credentials LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2021
Last updated Feb 10th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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